YOU must call to reserve a room at 307-266-6000 and ask for the WWMA convention rate. This room rate is good until 1/7/2012.

            The conference fulfills the 24 recertification credits for pesticide applicator categories. Register now! CREDIT CARD Payment ONLY!

You must return this form by email to mbayers19@hotmail.com AND your email must match the email you enter when paying through our eShop

Name:

Representing:

Address:

Email:

Registration fee:

On or before 1/10/12, $85

After 1/10/12 or at the door, $105

Vendors with booth space (registration & meals), $200

One day (Wed) attendance & meal, $25

Total amount enclosed $_________

Please keep a copy as your receipt

REMEMBER, THE EMAIL YOU SEND THIS REGISTRATION IN WITH MUST MATCH THE EMAIL ENTERED ON YOUR   eSHOP PAYMENT!